Individual
JENNIFER CONTRERAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3829 SARATOGA BLVD, CORPUS CHRISTI, TX 78415-5814
(361) 906-2121
(361) 906-2103
Mailing address
5901 GRASSMERE DR, CORPUS CHRISTI, TX 78415-3640
(361) 694-3023
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
AP140836
TX
207R00000X
Internal Medicine Physician
Primary
AP140836
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
29463
—
TX
Enumeration date
03/11/2019
Last updated
03/11/2019
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